| NPI | 1124667555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CORDEIRO Director, Credentialing 602-470-5519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208600000X Surgery | |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-02-19 |